Start as a versatile emergency physician
Chapter 38
The anesthesia method was continuous epidural anesthesia, and a McFarland incision length of 2 cm was taken in the right lower abdomen, which has reached the minimum limit for small incisions.
The reason why laparotomy is simple is that the incision is large and the situation in the abdominal cavity can be seen more clearly.
Now Ye Chen only made a 2cm incision. If the operation is improper, it is likely to injure other parts of the patient's abdominal cavity.
However, Ye Chen always remained calm.
After incising the skin and subcutaneous tissue, he said,"Electrosurgery."
The nurse on the side quickly handed the electrosurgery to Ye Chen.
He used an electric knife to stop the bleeding, incised the peritoneum of the external oblique muscles, stretched the internal oblique muscles and transversus abdominis muscles, cut the enchantment, retracted the incision with a small right-angle retractor, and searched for the root of the appendix along the colonic band on the cecal wall.
"The adhesion between the appendix and surrounding tissue is a bit serious. Is this small incision... unworkable?"
Liu Hongjie said on the side.
Ye Chen did not stop the operation because of severe adhesions, but instead moved the appendix back to the original position in a retrograde manner.
"I read a paper before and it seemed like this……"
Liu Yiyi muttered softly.
The small incision technique is not new, so there are many papers on it.
Of course, reading a paper is different from watching a real operation. The paper is just some cold words. Now I am actually watching Ye Chen remove the appendix from the 2cm incision.
The appendix is placed behind the tray.
Ye Chen still used conventional methods to deal with the appendix stump.
Before closing the abdomen, put 30 ml of metronidazole injection into the abdominal cavity, suture the peritoneal layer with continuous eversion and mattress suture, and use metronidazole injection to rinse the incision three times.
"Gloves."
The nurse was stunned at first.
Then she quickly gave Ye Chen a new pair of gloves and replaced the original ones.
Ye Chen put on the new gloves and used a new oblique cut to suture the patient's wound.
The internal oblique muscles were sutured separately. membrane and external oblique aponeurosis, and the skin was sutured with continuous intracutaneous sutures, and the two sections were tightened to make the skin edges well aligned, and then fixed with band-aid. The final operation time was 26 minutes. The previous laparoscopic surgery was faster!
【Ding! Successfully remove the Lv.10 diseased appendix, gain +200 experience points, +400 proficiency points, and +1,000 yuan gold value】
【Ding! Congratulations to the host and apprentice for completing an operation together, the task progress is 5/10]
It is another"feast".
Liu Hongjie once again witnessed Ye Chen's dazzling skills.
The inflamed appendix was successfully removed in a 2cm incision.
This method is not generally strong.
Liu Yiyi's eyes were filled with stars.
Liu Hongjie couldn't help but sigh at Ye Chen's strength.
As Ye Jianguo said, he is a genius!
And not just any genius.
Simply a genius.
He was born to be a doctor!
It's such a waste to stay in the emergency department in Xiangshi. You should come to the surgery department of their hospital!
No no no.
It is best to come to his orthopedics department.
Ye Chen is also very good at replanting amputated limbs.
The next few operations took Ye Chen no more than an hour, and the average time was within thirty minutes.
Liu Hongjie was so impressed by this!
Moreover, Ye Chen used different methods in the subsequent operations. Even if it was the same method, Ye Chen would make some small changes.
Appendicitis surgery.
It was really turned into a flower by Ye Chen!
After the tenth operation, a wonderful reminder sounded
【Ding! Successfully remove the Lv.6 diseased appendix, gain +120 experience points, +240 proficiency points, and +600 yuan gold value】
【Ding! Complete side missions and go to the battlefield together, gaining +10 tacit understanding points with apprentice Liu Yiyi】
【Ding! Disciple Liu Yiyi activates the first-level surgical skill: Appendicectomy (Advanced)]
It turns out that this operation is still available.
His apprentice actually directly activated advanced skills.
If placed in reality.
Even if you go through more than a dozen surgeries, you may not be able to reach a high level.
This system is really powerful!
When he was thinking this, Liu Yiyi, who was standing next to him, seemed to have a flash of inspiration. She had a feeling that she had suddenly understood the essence of appendicitis surgery.
There was even an inexplicable confidence that if she was allowed to go to the operating table, she would be able to perfectly remove the patient's appendix.
Of course, although Liu Yiyi suddenly realized advanced skills, she could not master as many surgical methods as Ye Chen did.
The last one left!
Today’s liver-breaking mission is over!
Although excited, Liu Yiyi already felt tired.
After all, ten operations were performed in a row.
If it was just a surgery that lasted a few hours, it might not be that tiring.
After all, when your nerves are tense, you will feel less tired.
But relax now.
On the contrary, I felt very tired.
Seeing that Liu Yiyi was a little tired, Ye Chen stretched his body:
"The last operation, the task is completed, I will take you to eat delicious food."
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